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Shadow Puppets and Neglected Diseases

Evaluating a Health Promotion Performance in Rural Indonesia

Bibliographic Data

ID7533997
AuthorsJohanna Kurscheid (0000-0002-6858-7501, Australian National University, corresponding author), Dan Bendrups (0000-0002-1458-3134, La Trobe University), Joko Susilo (0000-0002-0472-5231, University of Otago), Courtney Williams (0000-0001-5328-7517, Griffith University), Salvador Amaral (0000-0002-9641-0332, Australian National University), Budi Laksono (Indonesian Coral Reef Foundation), Donald Stewart (0000-0001-7588-7273, Griffith University), Darren J Gray (0000-0003-3525-1339, Australian National University)
Year2018
Volume15
Issue9
Pages2050-2050
Publication date2018-09-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph15092050
PMID30235817
OpenAlexW2891153675
LanguageEN
Citations received5
References cited3

Rama and the Worm' is a shadow puppet production targeting neglected diseases in Central Java. It is an entertainment-based intervention study to promote health by reducing the impact of parasitic diseases such as soil-transmitted helminths (STH). The study uses traditional Javanese shadow puppetry ( wayang kulit ) as a vehicle in village communities to disseminate health messages and promote behaviour change to prevent diseases caused, primarily, by inadequate sanitation and poor hygiene. The health education messages contained in the play, although using traditional characters and themes, required the creation of a completely new narrative script, using characters and plot lines familiar to the wayang kulit repertoire, but placing them in new situations that relate specifically to health promotion objectives. The intervention was piloted in a village in Central Java, Indonesia using a pre/post design with both qualitative and quantitative analysis. A total of 96 male and female villagers, aged between 7 and 87 years, provided both baseline and follow up data. Participant knowledge and behaviours related to gastrointestinal and helminth-related disease were assessed before and after the intervention through a questionnaire administered by interview. Results revealed statistically significant improvements in both knowledge (48.6% pre-intervention score vs. 62.8% post-intervention score, p p = 0.004) related to gastrointestinal and helminth disease. Findings of the study indicate the wayang kulit performance is an effective health education tool. The results provide proof of concept with scaling up the next step forward. The wayang kulit production provides a significant additional component for an integrated, comprehensive approach to reduction and elimination of STH infection

Health education · Health promotion · Hygiene · Intervention (counseling · Political science · Promotion (chess · Public health · Puppetry · Sanitation · Shadow (psychology · Cultural and Artistic Studies · Medicine · Nursing · Psychology

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Unique citing works5
Citations per year0,63
Citation span2018 - 2024 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 5
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